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Zindagi Mehfooz (Safe life) Scale Up

Challenge

Out of every 1000 live births, 104 infants die from vaccine preventable diseases in Sindh. Among the factors contributing to suboptimal immunization coverage are poor management, suboptimal service delivery and monitoring with a high reliance of routine immunization on outreach service delivery suffering from inadequate transport infrastructure and overburdened immunization staff.

In order to address these constraints, there is a need for an innovative, technology-based monitoring program – one that ensures effective planning, data analysis and rigorous disease surveillance.

Our Approach

Post devolution of the health services to provinces in 2015 in Pakistan, each of the four provinces is implementing different strategies to strengthen immunization program in collaboration with national and international partners.

In the Sindh province, the Provincial Health Department has collaborated with Interactive Research and Development (IRD) and The Indus Hospital (TIH) to provide technical support for the implementation of a phone based digital immunization registry program ‘Zindagi Mehfooz’ across all 29 districts.

The ZM Program utilizes an Android phone-based immunization registry to record and analyses program data in real time. It features a server-based persistent electronic record for child-based vaccination coverage tracking along with electronic decision support system to guide vaccinators for routine and catch-up immunizations, Quick Response (QR) Codes as unique child identifiers and SMS reminders for parents for upcoming immunization visits. The application is supported through a web based dashboard allowing preparation of performance based immunization reports, defaulters reports, population based coverage reports, vaccinators tracking and attendance, vaccinators micro planning and surveillance forms, as well as vaccine stock maintenance.

Impact

Zindagi Mehfooz has been piloted in Korangi Town Karachi and Shikarpur District of Sindh. Over 75,000 children are already registered in the Zindagi Mehfooz Digital Immunization registry.

The Sindh province wide scale up will register 1.5 million new born children and 1.5 pregnant women over 2017-18 and will be deployed with 2500 government vaccinators and 500 Lady Health Workers.